Individual
BROOKLYN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MERCHANTS BLVD STE E, CLARKSVILLE, TN 37040-1536
(931) 538-1460
Mailing address
120 MERCHANTS BLVD STE E, CLARKSVILLE, TN 37040-1536
(931) 538-1460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-368295
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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